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Gothia Cup 2009
Register for the Programs Online
Last Name
First Name
Address
City
Postal Code
Phone
Email
Birthdate
Age
Years of Playing
Beginner
Intermediate
Advanced
Professional
1
2
3
4
5
6
7
8
9
10
12
Start Date
Comments
Please indicate any: • Special Instructions • Medical Conditions
Cost Sessions
$25 (4 players)
$30 (3 players)
$45 (2 players)
$75 (individual)
$100 (team under 12 yr old)
$125 (per team)
Cost
Drop-in
$15 - Under 12 yr old (plus GST)
$25 - Over 12 yr old (plus GST)
Season
Please select season
Spring
Summer
Fall
Winter
Waiver
I am the parent / guardian of the registered player and agrees that JBST International Soccer Academy, as a soccer school, will not be responsible for any accidents or loss however caused, and agree to release all instructors, staff and sponsors from all claims or damages which may arise as a result of / or by reason of such accident or loss. In general, I am in good health.
I have read and agree with the terms and conditions outlined above.
Applicant
I am the
Parent
Player
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